| Doctor Name: | MRS. AVA BRODIE CRAIG |
| NPI Number: | 1710915152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | S0539 |
| Business Practice Address: | 5955 Zeamer Ave 3msgs/sgcun Elmendorf Afb, AK - 995063702 |
| Business Phone Number: | 9075805804 |
| Business Fax Number: | 9075805520 |
| Mailing Address: | 20634 Mountainside Dr, EAGLE RIVER |
| State: | AK |
| Postal Code: | 995778862 |
| Phone Number: | 9076228217 |
| Fax Number: | 9075805520 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 02/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | S0539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |